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Individual

ASHLEY L NICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501
(931) 372-0405
(931) 372-0463
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
03844
KY
207RC0000X
Cardiovascular Disease Physician
22139
MS
207RC0000X
Cardiovascular Disease Physician
Primary
3559
TN

Other

Enumeration date
04/06/2009
Last updated
06/17/2022
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